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Juggling efficiency. An ethnographic study exploring healthcare seeking practices and institutional logics in Danish primary care settings

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  • Andersen, Rikke Sand
  • Vedsted, Peter

Abstract

This article explores the mutually constituting relationship between healthcare seeking practices and the socio-political context of clinical encounters. On the basis of ethnographic fieldwork carried out in the context of Danish primary care (general practice) and inspired by recent writings on institutional logics, we illustrate how a logic of efficiency organise and give shape to healthcare seeking practices as they manifest in local clinical settings. Overall, patient concerns are reconfigured to fit the local clinical setting and healthcare professionals and patients are required to juggle efficiency in order to deal with uncertainties and meet more complex or unpredictable needs.

Suggested Citation

  • Andersen, Rikke Sand & Vedsted, Peter, 2015. "Juggling efficiency. An ethnographic study exploring healthcare seeking practices and institutional logics in Danish primary care settings," Social Science & Medicine, Elsevier, vol. 128(C), pages 239-245.
  • Handle: RePEc:eee:socmed:v:128:y:2015:i:c:p:239-245
    DOI: 10.1016/j.socscimed.2015.01.037
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    References listed on IDEAS

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    1. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Bayes, Sara & Morriss, Richard & Kai, Joe, 2013. "Competing and coexisting logics in the changing field of English general medical practice," Social Science & Medicine, Elsevier, vol. 93(C), pages 47-54.
    2. Andersen, Rikke Sand & Paarup, Bjarke & Vedsted, Peter & Bro, Flemming & Soendergaard, Jens, 2010. "'Containment' as an analytical framework for understanding patient delay: A qualitative study of cancer patients' symptom interpretation processes," Social Science & Medicine, Elsevier, vol. 71(2), pages 378-385, July.
    3. Waitzkin, Howard & Britt, Theron, 1993. "Processing narratives of self-destructive behavior in routine medical encounters: Health promotion, disease prevention, and the discourse of health care," Social Science & Medicine, Elsevier, vol. 36(9), pages 1121-1136, May.
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